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Individual

CRYSTAL MARCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
7020 CAMP HILL RD, FORT WASHINGTON, PA 19034-2202
(215) 987-4473
Mailing address
2603 CARRELL LN, WILLOW GROVE, PA 19090-1005
(267) 306-0824

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC015349
PA
101YP2500X
Professional Counselor
Primary
PC015349
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC015349
STATE BOARD OF SOCIAL WORKERS, PROFESSIONAL COUNSELORS, AND MARRIAGE AND FAMILY
PA
Enumeration date
02/06/2023
Last updated
02/06/2023
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